Method of liver plugging in case of injury

Abstract

Objective. To substantiate the methodology of using gauze plugging in surgery of severe liver damages. Materials and methods. There is presented the experience of treatment of 83 patients with severe closed liver damage of IIIIV degree according to E. Moore, who were cured in the clinical bases of the Department of General Surgery of V.I. Razumovsky Saratov State Medical University for the period from 1976 to 2020. Results. Various options for using liver tamponade as a method of primary hemostasis are considered. The developed new method of plugging with the use of a hemostatic sponge has been proposed, which makes it possible to achieve hemostasis quickly and minimally traumatic due to adequate compression of the wound surface. Conclusions. The proposed method of plugging is universal and effective for degrees IIIIV liver damages and is available to a wide range of general surgeons. The use of the proposed methodology of gauze plugging allows to remove tampons with a minimum risk of recurrent bleeding in the early stages without repeated surgery.